Authorizations Specialist

Position Overview

The Authorization Specialist supports the Clinical, Imaging, and Physical Therapy departments. Daily tasks will include verification of a patient’s insurance information, obtaining authorizations for procedures, surgeries, injections, imaging, office visits, and pre‑collection for upcoming services to be rendered. This role will also actively interact with the medical staff and patients.

• Authorize scheduled procedures including surgeries, injections, medications, imaging, and other items needing authorization with insurance.
• Verify eligibility and benefits for all patients and procedure codes, pre‑collect payment for surgeries and other procedures as required by the department.
• Ensure compliance with benefits, authorizations, and/or funding requirements and limitations.
• Confirm that all information documented in the Practice Management System is accurate.
• Document work processes as required.
• Educate staff members on authorization obligations and accountability to internal processes in a timely manner.
• Manage authorization queue by auditing daily changes and having clear documentation.
• Setup patient tracking via tasking within the patient Electronic Medical Records System.
• Innovate processes to facilitate the most efficient workflow.
• Document in Electronic Health Records System prior authorization information obtained.
• Display authorized treatment, date range approved, authorization numbers and insurance company contact information.
• Recognize and respond appropriately to urgent situations.
• Follow all written protocols and procedures of the clinic including the OCC handbook and all department policies and procedures.
• Provide timely, high quality patient service and submission of authorizations from all areas of responsibility by being courteous and helpful to all.
• Perform other duties assigned by OCC leadership.

• Medical terminology, ICD‑10 and CPT coding knowledge.
• Knowledge of contracted insurance plans and procedures.
• Solid computer and phone skills.
• Strong organizational and interpersonal skills.
• Ability to prioritize responsibilities and multi‑task efficiently and effectively.
• Adaptability to different plan and lien requirements.

• Medical, Dental and Vision Insurance.
• Generous PTO package and paid holidays.
• Company‑paid life insurance and long‑term disability insurance.
• Ability to purchase accident insurance, short and long‑term disability insurance.
• Opportunities for internal training and development.
• Retirement Plan eligibility after one month of service with eligibility in company profit sharing.
• Typical Monday – Friday work schedules.

• Typical business office environment.
• Possibility of local travel.
• Constant viewing of computer monitor, mousing and typing.
• Frequent standing, walking, sitting, lifting, bending, handling up to 10 pounds.
• Specific vision abilities required: close vision, color vision, peripheral vision, and ability to adjust focus.
• Hours of business are Monday – Friday from 8:00 a.m. to 5:00 p.m.; must be able to work early, late and long hours as needed.

Entry level

Full‑time

Other

Medical Practices